<?php
echo '<form id="contact" method="post" action="Traitement.php">';
echo '<fieldset>';
echo '<legend>FORMULAIRE TROP BI1</legend>';
echo '</br>';
echo '<label for="Name">Votre Nom :</label>';
echo '<input type="text" name="name" id="name" size="30" maxlength="30" required />';
echo '</br>';
echo '<label for="departement">Votre departement:</label>';
echo '<input type="text" name="departementOrigine" id="departementOrigine" size="30" maxlength="10" required />';
echo '</fieldset>';
echo '</br>';
echo '<label for="password">Mot de passe:</label>';
echo '<input type="text" name="password" id="password" size="30" maxlength="10" required />';
echo '</br>';
echo '</fieldset>';
echo '<center><input type="submit" value="Envoyer"><center>';
echo '</form>';
?>